PSYCHY UPDATES

June 2020
Contains:
1. New points asked in mid year exams
2. New data updates
3. Few important topics revision
4. Psychopharmacology 1 new chart
DAMS Psychiatry
Dr. Sachin Arora
 DAMS PSYCHIATRY : Add to the notes
22/06/2020 Based on recent exam question: JIPMER JUNE 2020
Types of NARCOLEPSY: (Ref : Harrison Volume 1)
• Type 1 narcolepsy (previously termed narcolepsy with cataplexy). This
diagnosis is based on the individual either having low levels of a brain
hormone (hypocretin) or reporting cataplexy and having excessive
daytime sleepiness on a special nap test.
• Type 2 narcolepsy (previously termed narcolepsy without
cataplexy). People with this condition experience excessive daytime
sleepiness but usually do not have muscle weakness triggered by
emotions. They usually also have less severe symptoms and have
normal levels of the brain hormone hypocretin. Traumatic brain injury can
also damage orexin producing neurons inducing type 2 narcolepsy.
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Based on recent exam question: PGI JUNE 2020
23/06/2020
5 factor
Asked Model
in AIPG Of
also Personality
Includes
once these traits

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24/06/2020 Recent exam question: AIIMS & JIPMER JUNE 2020
Treatment of alcohol withdrawal
(Detoxification)
•Drug of choice : BENZODIAZEPINES
•Commonly used BZD : Chlordiazepoxide
(80-200 mg/day) and diazepam (40-80
mg/day) (JIPMER JUNE 2020) (Ref :
Ahuja) ,Lorazepam, Oxazepam
•Along with BZD : Thiamine 100 mg/ day
(AIIMS JUNE 2020) Ref : Kaplan
Textbook
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25/06/2020 Recent exam question : AIIMS JUNE 2020
Pharmacokinetics of LITHIUM:
●Routes of administration:
›Oral- 99% Bioavailability
› i/v- requires loading dose
●t ½: 1 day →⸫ steady state concentration achieved after 5 days→ ⸫ start monitoring after
5 days (i.e., on 6th day) (ALL INDIA PG)
●Early morning sample to be sent (not necessarily empty stomach, but patient should have
taken night dose at least 12 hours before giving sample and after giving sample, patient can
take morning dose as advised, so no skipping of dose is needed) (AIIMS JUNE 2020)
●not metabolized in the body
●Excreted in urine (95%), sweat, saliva and breast milk

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 DAMS PSYCHIATRY : Latest updates
A National Survey on Extent and Pattern of Substance Use
26/06/2020 in India (2019) (Ref : NIMHANS Update)
1. Alcohol: 5.2% of Indians (5.7 crore people) are estimated to be
affected by harmful and 2.7% (2.9 crore) dependent alcohol use.
2. Cannabis: 2.8% (3.1 Crore people) report of using cannabis and
0.25% (25 lakh) dependent pattern users
3. Opioid: 2.06% (2.4 Crore individuals) report of using opioids and
0.26% (26 lakh) dependent pattern users. Nationally, it is estimated that
there are about 8.5 Lakh People Who Inject Drugs (PWID).
4. Inhalant: 0.7% (77lakh) report of using inhalant and 0.08% (8.5 lakh)
dependent users

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 DAMS PSYCHIATRY : Important topics
27/06/2020

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 DAMS PSYCHIATRY : Extra edge
28/06/2020

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 DAMS PSYCHIATRY : Add to notes
29/06/2020

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 DAMS PSYCHIATRY : extra edge
30/06/2020 Psychopharmacology

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